紧急救援护士领导的代码败血症减少了抗生素的时间
Leslie Gomez1, Kelli LeClair, Danisha Jenkins
1Author Affiliations: Sharp Chula Vista Medical Center, Sharp Healthcare, Chula Vista, California (Mss Gomez and LeClair, Drs Jenkins and David, and Ms Downing); and School of Nursing, San Diego State University, San Diego, California (Dr Graham).
Advanced emergency nursing journal
|December 20, 2024
概括
在急诊室 (ED) 的护士领导的败血症小组显著减少了门到抗生素的时间和患者死亡率. 这一举措改善了败血症的识别和治疗,从而改善了患者的治疗结果,超过了医院的基准标准.
科学领域:
- 紧急医疗 紧急医疗
- 传染性疾病 传染性疾病
- 护理领导力 护理领导力
背景情况:
- 败血症识别和抗生素治疗的延迟会增加患者的发病率和死亡率.
- 社区医院以前的败血症结果需要一个质量改善计划.
研究的目的:
- 建立一个急诊部 (ED) 代码败血症护士领导的团队.
- 缩短抗生素给药的时间,减少败血症患者的死亡率.
主要方法:
- 实施了一支专门的败血症护理团队,并接受了专门的培训.
- 开发并使用电子ED-败血症查工具.
- 建立了一个"代码败血症"激活过程,触发了多学科的反应和诊断和治疗的常规命令.
- 由注册护士 (RN) 队长领导的每月召开的败血症特别工作组会议,以促进参与.
主要成果:
- 从第一季度的196.7分钟减少到2021财年第四季度的144.7分钟.
- 患者死亡率降低,低于卫生系统平均值 (10.4%对13.5%).
- 实现了0.5%的再接收率,超过了<1.0.0的基准值.
结论:
- 一个由RN领导的,跨专业的败血症反应模型改善了败血症的识别和治疗.
- 加强员工和医生的参与有助于改善患者死亡率和医院报告结果.
- 败血症反应过程成功地采用了最小的挑战.
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